Spinal Shortening Research Articles

A method for shortening of the rat spine and its neurologic consequences.

Large laboratory animals are the usual choice for complex surgical procedures on the spine and spinal cord, such as shortening of the spine. It would, however, be advantageous to be able to use a small inexpensive mammal like the rat. We describe a procedure which allows thoracic spondylectomy (T8-T9) to be performed in the rat with a satisfactory survival rate (69%). Functional consequences of the procedure on animals with uninjured spinal cord were monitored over a period of six months, at which time histologic examination was performed. There was a good correlation between operative trauma, consisting of mechanical injury to the cord assessed from the surgical notes, and the duration of postoperative spinal shock. Animals for which the cord appeared laminated or deformed at the time of sacrifice tended to show incomplete functional recovery. Cord cavitation developed, in most surviving animals (78%) but did not have a measurable adverse effect on functional outcome. In the present study, the cord was not intentionally injured; however, availability of this procedure may facilitate the future development of methods to implement recovery of function following spinal cord injury.

A chart of anthropometric values.

A chart is presented to assist with the assessment and treatment of patients with growth-related deformities. It is based on anthropometric values from five published sources and relates sitting height to stature, limb length, the radiographic lengths of the leg bones and the lengths of the feet and hands. It has proved useful in the prediction of leg-length discrepancies, in the diagnosis of cases of short stature, and in the assessment of spinal shortening from scoliosis.

Vertebral Column Resection and Arthrodesis for Complex Spinal Deformities

Sixteen patients aged 13 to 55 with severe rigid spine deformities were treated by two-stage anterior and posterior vertebral column resection, fusion, and segmental spinal instrumentation. The purpose of the vertebral column resection was to eliminate pain, prevent progressive deformity, and obtain the maximum correction necessary to achieve spinal balance in the coronal and sagittal plane. The final scoliosis correction averaged 43%. Physiologic sagittal alignment was achieved in all patients. Complications occurred in seven patients (43%). It is our conclusion, based on this series, that the concept of decancellation, radical vertebral column resection, spinal shortening, and segmental instrumentation posteriorly can achieve a balanced correction and significant pain relief for the select patient who presents with severe rigid spine deformity not adequately treatable by more established techniques.